Ethos

LBN: Southwest Boston Senior Services, Inc
Ethos is an health care organization with primary practice located at 555 Amory St , Jamaica Plain MA 02130-2652. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Southwest Boston Senior Services, Inc can be contacted via phone (617) 522-6700, or through Mitchell, Dale via phone (617) 522-6700.

Contact Information

Primary practice address
555 Amory St Jamaica Plain MA 02130-2652
Phone: (617) 522-6700
Fax: (617) 524-2899
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Dale
Phone: (617) 522-6700

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1386789840
LBN Legal business name Southwest Boston Senior Services, Inc
DBA Doing business as Ethos
Authorized official Mitchell, Dale
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386789840 NPPES
Massachusetts MEDICAID 1948466

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